Individual
NICOLE OLIVIA WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
914 1ST AVE SE, MINOT, ND 58701-4008
(701) 739-3094
Mailing address
914 1ST AVE SE, MINOT, ND 58701-4008
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R31921
ND
Other
Enumeration date
07/02/2010
Last updated
03/02/2015
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